Doctor Name: | JORIE HARRIS |
NPI Number: | 1932518024 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, MA |
License Number: | |
Business Practice Address: | 2789 Ortiz Ave Fort Myers, FL - 339057806 |
Business Phone Number: | 2392753222 |
Business Fax Number: | 2392789058 |
Mailing Address: | 3763 Evans Ave, FORT MYERS |
State: | FL |
Postal Code: | 339019302 |
Phone Number: | 2392753222 |
Fax Number: | 2392789058 |
NPI Enumeration Date: | 08/04/2014 |
NPI Last Update Date: | 08/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |